Organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Active
Parent organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Authorized official
BEN H PARK M.D. (PRESIDENT AND CEO)
(317) 580-6307
Entity
Organization
Contact information
Practice address
18051 RIVER AVE, SUITE 200, NOBLESVILLE, IN 46062-7091
(317) 773-0002
(317) 776-6095
Mailing address
18051 RIVER AVE, SUITE 200, NOBLESVILLE, IN 46062-7091
(317) 773-0002
(317) 776-6095
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0828280001
DMERC
IN
Enumeration date
07/14/2006
Last updated
01/09/2008
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